Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 12301 | Date 06/11/2024 |
| Token No | SM/24-25/19609 07/11/2024 | Serial | 018 |
| Patient Name | Mrs. SWAPNA DUTTA | Contact No | 9903024057 |
| Address | SIRISHTALA | Age | 55 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||